c:::ic i3 board of vocational · pdf file25/8/2017 · agenda item #22.c.1....
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Agenda Item 22C1 BUSINESS CONSUMER SERVICES AND HOUSING AGENCY bull GOVERNOR E DMUND G BROWN J R
BOARD OF VOCATIONAL NURSING amp PSYCHIATRIC TECHNICIANS cIC i3 2535 Capitol Oaks Drive Suite 205 Sacramento CA 95833-2945
DEPARTMENT OF CONSUMER AF FAI R S Phone (916) 263-7800 Fax (916) 263-7855 Web wwwbvnptca gov
COVER SHEET
SUBJECT Angeles College of Nursing Vocational Nursing Program Consideration of Request to Admit Students (Director Mary McHugh Los Angeles Los Angeles Priva te)
The Angeles College of Nursing Vocational Nursing Program requests approval to
bull Admit one (1) full - time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full -time class which graduated on July 17 2017
bull Admit one (1) full-time classmiddot of 20 on January 22 2018 with a projected graduation date of February 15 2019 only
Approval of one (1) full- time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full -time class which graduated on July 17 2017 is recommended
The Board initially placed the program on provisional approval for the two-year period from November 9 2012 through November 30 2014 That action was taken due to the programs noncompliance with regulatory requirements relative to program pass rates on the NCLEX-PNreg licensure examination At that time the programs average annual pass rate was 47
Recommendations
1 Approve the Angeles College Vocational Nursing Programs request to admit one (1) full -time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full- time class which graduated on July 17 2017
2 Deny the programs admission of one (1) full-time class of 20 students on January 22 2018 with a projected graduation date of February 15 2019 only
3 Continue to require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences
4 Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
2
Agenda Item 22C1 e T A T a 0~ CAL I OR N IA
o ca DEPARTMENT OF CONSUMER AFFAIRS
DATE
TO
FROM
SUBJECT
BUSINESS CONSUMER SERVICES AND HOUSING AGENCY bull GOVERNOR EDMUND G BROWN JR
BOARD OF VOCATIONAL NURSING amp PSYCHIATRIC TECHNICIANS 2535 Capitol Oaks Drive Suite 205 Sacramento CA 95833-2945 Phone (916) 263-7800 Fax (916) 263-7855 Web wwwbvnptcagov
August 10 2017
8_~ard M~mb~r
~LClt-~07~ r ~aye Silverman RN MSN Ed WOCN P HN middot Nursing Education Consultant
Angeles College of Nursing Vocational Nursing Program Consideration of Request to Admit Students (Director Mary McHugh Los Angeles Los Angeles Pri vate)
The Angeles College of Nursing Vocational Nursing Program requests approval to
bull Admit one (1) full -time Class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full - time class which graduated on July 17 2017
bull Admit one (1) full-tim e class of 20 on January 22 2018 with a projected graduation date of February 15 2019 only
Approval of one (1) full- time class of 20 students on September 7 2017 with a projected graduation date of October 2 3 2018 to replace the full - tim e class which graduated on July 17 2017 is recommended
The Board initially placed th e program on provisional approval for the two-year period from November 9 2012 through November 30 2014 That action was taken due to the programs noncompliance with re gulatory requirements relative to program pass rates on the NCLEX-PNreg lice nsure examination At that time the program s average annual pass rate was 47
History of Prior Board Actions
(See Attachment A History of Board Action )
Enrollment
Th e program offers a 42-week ful l - time course of instruction and a 60-week part - tim e course of instruction The program is required to obtain approval by the full Board prior to the admission of students Th e pattern of admiss ions for current and propos ed classes is seen in the enrollment table be low
The following table represents current and proposed student enrollment based on class starts and completions The table indicates a maximum enrollment of 47 students from March 2017 through March 2018
middot bull
middot middot -_ __ -shy __middotENROLLMINTOATA - ---middotmiddotmiddot
-_--- _ Studentsbull bullbull _ ClASSDATES ___ Students middot TotalcUrrent llrAdntitted Enrolled Start__ bullbull _ middot- Complete
Completed
_middot shy
20415 Day 20 20
116 FT Day [36] 20 + 17 = 3718 17
716 37-20 = 17 -20(415 Day Class)
21717 17-17=0-17(116 FT Day Class) 317 FT Day (Ciass37) 0+7=7 (3918)
9717 FT Day (Proposed)
10 7
- 7 + 20 = 2720 20(Ciass38) (1 0918)
12218 FT Day (Proposed) 27 + 20 = 4720 20(Ciass39) (21519)
Indicates projected graduation date
Licensing Examination Statistics
The following statistics furnished by Pearson VUE and published by the National Council of State Boards of Nursing as Jurisdictional Summary of All First-Time Candidates Educated in Member Board Jurisdiction for the period July 2015 through June 2017 specify the pass percentage rates for graduates of the Angeles College of Nursing Vocational Nursing Program on the National Council Licensure Examination for PracticalVocational Nurses (NCLEX-PNreg) and the variance of the programs pass rates from state average annual pass rates for the past eight (8) quarters
~- _middot middot middot ---shymiddot - - -shy _-_ NCLEX-PNreg Licensure Examination Data _ -middot_ - _- middot middot-shy
-shy Quarterly Stittistics gt -shy -- I Annual Statistics~ _ middotshyI
Quarter
gt shy
middot State Program State Variance front -shy Average Averagemiddot Average State Average
Candidates Passed Passed PQuartRerlty Annual _ Annual Annual Pass - ass a e Pass Rate Pass Rate _ ____ Rate_ _
-middotshy _shy -shy _ shy [CCR sect2~30(1)] - - --
Jul- Sep 2015 2 50 73 70 72 -2
Oct- Dec 2015 0 0 75 57 72 -15
2
NCLEX-PNreg Licensure Examination Data
Quarter
Jan- Mar 2016
Quarterly Statistics State
Average
Candidates Passed Passed Quarterly Pass Rate
0 0 0 73
Program Average Annual
Pass Rate
57
Annual Statistics State Variance from
Average State Average Annual Annual Pass
Pass Rate Rate [CCR sect2530(1)]
72 -15
Apr- Jun 2016 0 0 0 75 33 74 -41
Jul- Sep 2016 5 3 60 76 50 75 -25
Oct- Dec 2016 1 1 100 70 67 74 -7
Jan- Mar 2017 7 6 86 72 77 73 +4
Apr-Jun 2017 4 4 100 68 82 74 +8 The Annual Pass Rate changes every quarter It Is calculated by dividing the number of candidates who passed during the current and previous three quarters by the number of candidates who tested during the same period If no data is available for the relevant period the statistic is carried over from the last quarter for which data is available
California Code of Regulations section 2530(1) states
The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNreg for the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Faculty and Facilities
Section 2534(d) of the Vocational Nursing Rules and Regulations states
For supervision of clinical experience there shall be a maximum of 15 students for each instructor
However based on the Boards January 2017 decision the program is required to provide no less than one (1) instructor for every ten (1 0) students in clinical classes
The current number of Board-approved faculty totals eleven (11 ) The current Director of Nursing has 20 teaching and 80 administrative responsibility This school has one additional faculty Based on the above information the program has nine (9) instructors designated to teach clinical classes
Faculty stability was identified with six (6) faculty members being employed for 0 - 2 years Three (3) faculty members were employed for 2 - 5 years Two (2) faculty
3
members were employed for 6- 10 years The approved director position and three (3) faculty are full time and seven (7) faculty work part time
Based on a maximum enrollment of 47 students five 5) instructors are required for clinical supervision Therefore the current number of faculty is adequate for the current and proposed enrollment
Section 2534(b) of the California Code of Regulations states
Schools shall have clinical facilities adequate as to number type and variety of patients treated to provide clinical experience for all students in the areas specified by Section 2533 There must be available for student assignment an adequate daily census of patients to afford a variety of clinical experiences consistent with competency-based objectives and theory being taught
Board files substantiate the approval of clinical facilities adequate as to type and variety of patients treated to enable current and proposed students to meet clinical objectives in accordance with Section 2534(b) of the Vocational Nursing Rules and Regulations
Other Considerations
As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On June 10 2014 the Board approved a new director
On November 21 2014 the Board extended the programs provisional approval for three (3) months from November 21 2014 to February 28 2015 The Board directed the program to correct identified violations and submit documentation confirming their correction by December 15 2014 At that time the programs average annual pass rate was 47
On January 7 2015 the director submitted the programs action plan to increase NCLEXshyPNreg pass rates
On February 13 2015 the Board extended the programs provisional approval through February 282017 At that time the programs average annual pass rate was 58 It was noted that while the current students were starting to pass NCLEX-PNreg several students who graduated in older cohorts were also testing
On September 4 2015 the Director reported to the Board that the program had offered the virtual ATIreg program to all past graduates all past graduates who completed the virtual ATIregremediation passed the NCLEX-PNreg on the first attempt and graduates who did not take advantage of the remediation continue to fail the NCLEX-PNreg Additionally the director reported that the program paid the NCLEXPNreg registration fee for all graduates who scheduled the test upon completion of the virtual AT Ireg program
4
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 At that time the programs average annual pass rate was 67 It was noted that the programs average annual pass rate was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Recommendations
1 Approve the Angeles College Vocational Nursing Programs request to admit one (1) full -time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full- time class which graduated on July 17 2017
2 Deny the programs admission of one (1) full-time class of 20 students on January 22 2018 with a projected graduation date of February 15 2019 only
3 Continue to require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences
4 Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
Rationale As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 The programs average annual pass rate was 67 It was noted that the programs average annual pass rate
5
was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (January - March 2017) the programs average annual pass rate is 77 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 73 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is four (4) percentage points above the state average annual pass rate It is noted that the programs current average annual pass rate is 30 percentage points above that when initially placed on provisional approval
Based on published examination statistics the program has been compliant with regulatory requirements for four (4) of the previous eight (8) quarters Further program compliance is confirmed for the previous three (3) consecutive quarters However it is also noted that the number of program graduates completing the licensure examination continues markedly less than the total graduates completing the program Given the foregoing approval of the programs request to admit one class is recommended Consideration of a second class may be considered after receipt and analysis of Quarter 3-2017 examination statistics
Board staff will continue to monitor closely the programs effectiveness by tracking class admissions resources and the programs quarterly and average annual pass rates
Attachment A History of Prior Board Actions
6
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
2
Agenda Item 22C1 e T A T a 0~ CAL I OR N IA
o ca DEPARTMENT OF CONSUMER AFFAIRS
DATE
TO
FROM
SUBJECT
BUSINESS CONSUMER SERVICES AND HOUSING AGENCY bull GOVERNOR EDMUND G BROWN JR
BOARD OF VOCATIONAL NURSING amp PSYCHIATRIC TECHNICIANS 2535 Capitol Oaks Drive Suite 205 Sacramento CA 95833-2945 Phone (916) 263-7800 Fax (916) 263-7855 Web wwwbvnptcagov
August 10 2017
8_~ard M~mb~r
~LClt-~07~ r ~aye Silverman RN MSN Ed WOCN P HN middot Nursing Education Consultant
Angeles College of Nursing Vocational Nursing Program Consideration of Request to Admit Students (Director Mary McHugh Los Angeles Los Angeles Pri vate)
The Angeles College of Nursing Vocational Nursing Program requests approval to
bull Admit one (1) full -time Class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full - time class which graduated on July 17 2017
bull Admit one (1) full-tim e class of 20 on January 22 2018 with a projected graduation date of February 15 2019 only
Approval of one (1) full- time class of 20 students on September 7 2017 with a projected graduation date of October 2 3 2018 to replace the full - tim e class which graduated on July 17 2017 is recommended
The Board initially placed th e program on provisional approval for the two-year period from November 9 2012 through November 30 2014 That action was taken due to the programs noncompliance with re gulatory requirements relative to program pass rates on the NCLEX-PNreg lice nsure examination At that time the program s average annual pass rate was 47
History of Prior Board Actions
(See Attachment A History of Board Action )
Enrollment
Th e program offers a 42-week ful l - time course of instruction and a 60-week part - tim e course of instruction The program is required to obtain approval by the full Board prior to the admission of students Th e pattern of admiss ions for current and propos ed classes is seen in the enrollment table be low
The following table represents current and proposed student enrollment based on class starts and completions The table indicates a maximum enrollment of 47 students from March 2017 through March 2018
middot bull
middot middot -_ __ -shy __middotENROLLMINTOATA - ---middotmiddotmiddot
-_--- _ Studentsbull bullbull _ ClASSDATES ___ Students middot TotalcUrrent llrAdntitted Enrolled Start__ bullbull _ middot- Complete
Completed
_middot shy
20415 Day 20 20
116 FT Day [36] 20 + 17 = 3718 17
716 37-20 = 17 -20(415 Day Class)
21717 17-17=0-17(116 FT Day Class) 317 FT Day (Ciass37) 0+7=7 (3918)
9717 FT Day (Proposed)
10 7
- 7 + 20 = 2720 20(Ciass38) (1 0918)
12218 FT Day (Proposed) 27 + 20 = 4720 20(Ciass39) (21519)
Indicates projected graduation date
Licensing Examination Statistics
The following statistics furnished by Pearson VUE and published by the National Council of State Boards of Nursing as Jurisdictional Summary of All First-Time Candidates Educated in Member Board Jurisdiction for the period July 2015 through June 2017 specify the pass percentage rates for graduates of the Angeles College of Nursing Vocational Nursing Program on the National Council Licensure Examination for PracticalVocational Nurses (NCLEX-PNreg) and the variance of the programs pass rates from state average annual pass rates for the past eight (8) quarters
~- _middot middot middot ---shymiddot - - -shy _-_ NCLEX-PNreg Licensure Examination Data _ -middot_ - _- middot middot-shy
-shy Quarterly Stittistics gt -shy -- I Annual Statistics~ _ middotshyI
Quarter
gt shy
middot State Program State Variance front -shy Average Averagemiddot Average State Average
Candidates Passed Passed PQuartRerlty Annual _ Annual Annual Pass - ass a e Pass Rate Pass Rate _ ____ Rate_ _
-middotshy _shy -shy _ shy [CCR sect2~30(1)] - - --
Jul- Sep 2015 2 50 73 70 72 -2
Oct- Dec 2015 0 0 75 57 72 -15
2
NCLEX-PNreg Licensure Examination Data
Quarter
Jan- Mar 2016
Quarterly Statistics State
Average
Candidates Passed Passed Quarterly Pass Rate
0 0 0 73
Program Average Annual
Pass Rate
57
Annual Statistics State Variance from
Average State Average Annual Annual Pass
Pass Rate Rate [CCR sect2530(1)]
72 -15
Apr- Jun 2016 0 0 0 75 33 74 -41
Jul- Sep 2016 5 3 60 76 50 75 -25
Oct- Dec 2016 1 1 100 70 67 74 -7
Jan- Mar 2017 7 6 86 72 77 73 +4
Apr-Jun 2017 4 4 100 68 82 74 +8 The Annual Pass Rate changes every quarter It Is calculated by dividing the number of candidates who passed during the current and previous three quarters by the number of candidates who tested during the same period If no data is available for the relevant period the statistic is carried over from the last quarter for which data is available
California Code of Regulations section 2530(1) states
The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNreg for the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Faculty and Facilities
Section 2534(d) of the Vocational Nursing Rules and Regulations states
For supervision of clinical experience there shall be a maximum of 15 students for each instructor
However based on the Boards January 2017 decision the program is required to provide no less than one (1) instructor for every ten (1 0) students in clinical classes
The current number of Board-approved faculty totals eleven (11 ) The current Director of Nursing has 20 teaching and 80 administrative responsibility This school has one additional faculty Based on the above information the program has nine (9) instructors designated to teach clinical classes
Faculty stability was identified with six (6) faculty members being employed for 0 - 2 years Three (3) faculty members were employed for 2 - 5 years Two (2) faculty
3
members were employed for 6- 10 years The approved director position and three (3) faculty are full time and seven (7) faculty work part time
Based on a maximum enrollment of 47 students five 5) instructors are required for clinical supervision Therefore the current number of faculty is adequate for the current and proposed enrollment
Section 2534(b) of the California Code of Regulations states
Schools shall have clinical facilities adequate as to number type and variety of patients treated to provide clinical experience for all students in the areas specified by Section 2533 There must be available for student assignment an adequate daily census of patients to afford a variety of clinical experiences consistent with competency-based objectives and theory being taught
Board files substantiate the approval of clinical facilities adequate as to type and variety of patients treated to enable current and proposed students to meet clinical objectives in accordance with Section 2534(b) of the Vocational Nursing Rules and Regulations
Other Considerations
As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On June 10 2014 the Board approved a new director
On November 21 2014 the Board extended the programs provisional approval for three (3) months from November 21 2014 to February 28 2015 The Board directed the program to correct identified violations and submit documentation confirming their correction by December 15 2014 At that time the programs average annual pass rate was 47
On January 7 2015 the director submitted the programs action plan to increase NCLEXshyPNreg pass rates
On February 13 2015 the Board extended the programs provisional approval through February 282017 At that time the programs average annual pass rate was 58 It was noted that while the current students were starting to pass NCLEX-PNreg several students who graduated in older cohorts were also testing
On September 4 2015 the Director reported to the Board that the program had offered the virtual ATIreg program to all past graduates all past graduates who completed the virtual ATIregremediation passed the NCLEX-PNreg on the first attempt and graduates who did not take advantage of the remediation continue to fail the NCLEX-PNreg Additionally the director reported that the program paid the NCLEXPNreg registration fee for all graduates who scheduled the test upon completion of the virtual AT Ireg program
4
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 At that time the programs average annual pass rate was 67 It was noted that the programs average annual pass rate was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Recommendations
1 Approve the Angeles College Vocational Nursing Programs request to admit one (1) full -time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full- time class which graduated on July 17 2017
2 Deny the programs admission of one (1) full-time class of 20 students on January 22 2018 with a projected graduation date of February 15 2019 only
3 Continue to require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences
4 Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
Rationale As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 The programs average annual pass rate was 67 It was noted that the programs average annual pass rate
5
was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (January - March 2017) the programs average annual pass rate is 77 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 73 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is four (4) percentage points above the state average annual pass rate It is noted that the programs current average annual pass rate is 30 percentage points above that when initially placed on provisional approval
Based on published examination statistics the program has been compliant with regulatory requirements for four (4) of the previous eight (8) quarters Further program compliance is confirmed for the previous three (3) consecutive quarters However it is also noted that the number of program graduates completing the licensure examination continues markedly less than the total graduates completing the program Given the foregoing approval of the programs request to admit one class is recommended Consideration of a second class may be considered after receipt and analysis of Quarter 3-2017 examination statistics
Board staff will continue to monitor closely the programs effectiveness by tracking class admissions resources and the programs quarterly and average annual pass rates
Attachment A History of Prior Board Actions
6
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
Agenda Item 22C1 e T A T a 0~ CAL I OR N IA
o ca DEPARTMENT OF CONSUMER AFFAIRS
DATE
TO
FROM
SUBJECT
BUSINESS CONSUMER SERVICES AND HOUSING AGENCY bull GOVERNOR EDMUND G BROWN JR
BOARD OF VOCATIONAL NURSING amp PSYCHIATRIC TECHNICIANS 2535 Capitol Oaks Drive Suite 205 Sacramento CA 95833-2945 Phone (916) 263-7800 Fax (916) 263-7855 Web wwwbvnptcagov
August 10 2017
8_~ard M~mb~r
~LClt-~07~ r ~aye Silverman RN MSN Ed WOCN P HN middot Nursing Education Consultant
Angeles College of Nursing Vocational Nursing Program Consideration of Request to Admit Students (Director Mary McHugh Los Angeles Los Angeles Pri vate)
The Angeles College of Nursing Vocational Nursing Program requests approval to
bull Admit one (1) full -time Class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full - time class which graduated on July 17 2017
bull Admit one (1) full-tim e class of 20 on January 22 2018 with a projected graduation date of February 15 2019 only
Approval of one (1) full- time class of 20 students on September 7 2017 with a projected graduation date of October 2 3 2018 to replace the full - tim e class which graduated on July 17 2017 is recommended
The Board initially placed th e program on provisional approval for the two-year period from November 9 2012 through November 30 2014 That action was taken due to the programs noncompliance with re gulatory requirements relative to program pass rates on the NCLEX-PNreg lice nsure examination At that time the program s average annual pass rate was 47
History of Prior Board Actions
(See Attachment A History of Board Action )
Enrollment
Th e program offers a 42-week ful l - time course of instruction and a 60-week part - tim e course of instruction The program is required to obtain approval by the full Board prior to the admission of students Th e pattern of admiss ions for current and propos ed classes is seen in the enrollment table be low
The following table represents current and proposed student enrollment based on class starts and completions The table indicates a maximum enrollment of 47 students from March 2017 through March 2018
middot bull
middot middot -_ __ -shy __middotENROLLMINTOATA - ---middotmiddotmiddot
-_--- _ Studentsbull bullbull _ ClASSDATES ___ Students middot TotalcUrrent llrAdntitted Enrolled Start__ bullbull _ middot- Complete
Completed
_middot shy
20415 Day 20 20
116 FT Day [36] 20 + 17 = 3718 17
716 37-20 = 17 -20(415 Day Class)
21717 17-17=0-17(116 FT Day Class) 317 FT Day (Ciass37) 0+7=7 (3918)
9717 FT Day (Proposed)
10 7
- 7 + 20 = 2720 20(Ciass38) (1 0918)
12218 FT Day (Proposed) 27 + 20 = 4720 20(Ciass39) (21519)
Indicates projected graduation date
Licensing Examination Statistics
The following statistics furnished by Pearson VUE and published by the National Council of State Boards of Nursing as Jurisdictional Summary of All First-Time Candidates Educated in Member Board Jurisdiction for the period July 2015 through June 2017 specify the pass percentage rates for graduates of the Angeles College of Nursing Vocational Nursing Program on the National Council Licensure Examination for PracticalVocational Nurses (NCLEX-PNreg) and the variance of the programs pass rates from state average annual pass rates for the past eight (8) quarters
~- _middot middot middot ---shymiddot - - -shy _-_ NCLEX-PNreg Licensure Examination Data _ -middot_ - _- middot middot-shy
-shy Quarterly Stittistics gt -shy -- I Annual Statistics~ _ middotshyI
Quarter
gt shy
middot State Program State Variance front -shy Average Averagemiddot Average State Average
Candidates Passed Passed PQuartRerlty Annual _ Annual Annual Pass - ass a e Pass Rate Pass Rate _ ____ Rate_ _
-middotshy _shy -shy _ shy [CCR sect2~30(1)] - - --
Jul- Sep 2015 2 50 73 70 72 -2
Oct- Dec 2015 0 0 75 57 72 -15
2
NCLEX-PNreg Licensure Examination Data
Quarter
Jan- Mar 2016
Quarterly Statistics State
Average
Candidates Passed Passed Quarterly Pass Rate
0 0 0 73
Program Average Annual
Pass Rate
57
Annual Statistics State Variance from
Average State Average Annual Annual Pass
Pass Rate Rate [CCR sect2530(1)]
72 -15
Apr- Jun 2016 0 0 0 75 33 74 -41
Jul- Sep 2016 5 3 60 76 50 75 -25
Oct- Dec 2016 1 1 100 70 67 74 -7
Jan- Mar 2017 7 6 86 72 77 73 +4
Apr-Jun 2017 4 4 100 68 82 74 +8 The Annual Pass Rate changes every quarter It Is calculated by dividing the number of candidates who passed during the current and previous three quarters by the number of candidates who tested during the same period If no data is available for the relevant period the statistic is carried over from the last quarter for which data is available
California Code of Regulations section 2530(1) states
The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNreg for the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Faculty and Facilities
Section 2534(d) of the Vocational Nursing Rules and Regulations states
For supervision of clinical experience there shall be a maximum of 15 students for each instructor
However based on the Boards January 2017 decision the program is required to provide no less than one (1) instructor for every ten (1 0) students in clinical classes
The current number of Board-approved faculty totals eleven (11 ) The current Director of Nursing has 20 teaching and 80 administrative responsibility This school has one additional faculty Based on the above information the program has nine (9) instructors designated to teach clinical classes
Faculty stability was identified with six (6) faculty members being employed for 0 - 2 years Three (3) faculty members were employed for 2 - 5 years Two (2) faculty
3
members were employed for 6- 10 years The approved director position and three (3) faculty are full time and seven (7) faculty work part time
Based on a maximum enrollment of 47 students five 5) instructors are required for clinical supervision Therefore the current number of faculty is adequate for the current and proposed enrollment
Section 2534(b) of the California Code of Regulations states
Schools shall have clinical facilities adequate as to number type and variety of patients treated to provide clinical experience for all students in the areas specified by Section 2533 There must be available for student assignment an adequate daily census of patients to afford a variety of clinical experiences consistent with competency-based objectives and theory being taught
Board files substantiate the approval of clinical facilities adequate as to type and variety of patients treated to enable current and proposed students to meet clinical objectives in accordance with Section 2534(b) of the Vocational Nursing Rules and Regulations
Other Considerations
As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On June 10 2014 the Board approved a new director
On November 21 2014 the Board extended the programs provisional approval for three (3) months from November 21 2014 to February 28 2015 The Board directed the program to correct identified violations and submit documentation confirming their correction by December 15 2014 At that time the programs average annual pass rate was 47
On January 7 2015 the director submitted the programs action plan to increase NCLEXshyPNreg pass rates
On February 13 2015 the Board extended the programs provisional approval through February 282017 At that time the programs average annual pass rate was 58 It was noted that while the current students were starting to pass NCLEX-PNreg several students who graduated in older cohorts were also testing
On September 4 2015 the Director reported to the Board that the program had offered the virtual ATIreg program to all past graduates all past graduates who completed the virtual ATIregremediation passed the NCLEX-PNreg on the first attempt and graduates who did not take advantage of the remediation continue to fail the NCLEX-PNreg Additionally the director reported that the program paid the NCLEXPNreg registration fee for all graduates who scheduled the test upon completion of the virtual AT Ireg program
4
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 At that time the programs average annual pass rate was 67 It was noted that the programs average annual pass rate was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Recommendations
1 Approve the Angeles College Vocational Nursing Programs request to admit one (1) full -time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full- time class which graduated on July 17 2017
2 Deny the programs admission of one (1) full-time class of 20 students on January 22 2018 with a projected graduation date of February 15 2019 only
3 Continue to require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences
4 Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
Rationale As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 The programs average annual pass rate was 67 It was noted that the programs average annual pass rate
5
was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (January - March 2017) the programs average annual pass rate is 77 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 73 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is four (4) percentage points above the state average annual pass rate It is noted that the programs current average annual pass rate is 30 percentage points above that when initially placed on provisional approval
Based on published examination statistics the program has been compliant with regulatory requirements for four (4) of the previous eight (8) quarters Further program compliance is confirmed for the previous three (3) consecutive quarters However it is also noted that the number of program graduates completing the licensure examination continues markedly less than the total graduates completing the program Given the foregoing approval of the programs request to admit one class is recommended Consideration of a second class may be considered after receipt and analysis of Quarter 3-2017 examination statistics
Board staff will continue to monitor closely the programs effectiveness by tracking class admissions resources and the programs quarterly and average annual pass rates
Attachment A History of Prior Board Actions
6
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
The following table represents current and proposed student enrollment based on class starts and completions The table indicates a maximum enrollment of 47 students from March 2017 through March 2018
middot bull
middot middot -_ __ -shy __middotENROLLMINTOATA - ---middotmiddotmiddot
-_--- _ Studentsbull bullbull _ ClASSDATES ___ Students middot TotalcUrrent llrAdntitted Enrolled Start__ bullbull _ middot- Complete
Completed
_middot shy
20415 Day 20 20
116 FT Day [36] 20 + 17 = 3718 17
716 37-20 = 17 -20(415 Day Class)
21717 17-17=0-17(116 FT Day Class) 317 FT Day (Ciass37) 0+7=7 (3918)
9717 FT Day (Proposed)
10 7
- 7 + 20 = 2720 20(Ciass38) (1 0918)
12218 FT Day (Proposed) 27 + 20 = 4720 20(Ciass39) (21519)
Indicates projected graduation date
Licensing Examination Statistics
The following statistics furnished by Pearson VUE and published by the National Council of State Boards of Nursing as Jurisdictional Summary of All First-Time Candidates Educated in Member Board Jurisdiction for the period July 2015 through June 2017 specify the pass percentage rates for graduates of the Angeles College of Nursing Vocational Nursing Program on the National Council Licensure Examination for PracticalVocational Nurses (NCLEX-PNreg) and the variance of the programs pass rates from state average annual pass rates for the past eight (8) quarters
~- _middot middot middot ---shymiddot - - -shy _-_ NCLEX-PNreg Licensure Examination Data _ -middot_ - _- middot middot-shy
-shy Quarterly Stittistics gt -shy -- I Annual Statistics~ _ middotshyI
Quarter
gt shy
middot State Program State Variance front -shy Average Averagemiddot Average State Average
Candidates Passed Passed PQuartRerlty Annual _ Annual Annual Pass - ass a e Pass Rate Pass Rate _ ____ Rate_ _
-middotshy _shy -shy _ shy [CCR sect2~30(1)] - - --
Jul- Sep 2015 2 50 73 70 72 -2
Oct- Dec 2015 0 0 75 57 72 -15
2
NCLEX-PNreg Licensure Examination Data
Quarter
Jan- Mar 2016
Quarterly Statistics State
Average
Candidates Passed Passed Quarterly Pass Rate
0 0 0 73
Program Average Annual
Pass Rate
57
Annual Statistics State Variance from
Average State Average Annual Annual Pass
Pass Rate Rate [CCR sect2530(1)]
72 -15
Apr- Jun 2016 0 0 0 75 33 74 -41
Jul- Sep 2016 5 3 60 76 50 75 -25
Oct- Dec 2016 1 1 100 70 67 74 -7
Jan- Mar 2017 7 6 86 72 77 73 +4
Apr-Jun 2017 4 4 100 68 82 74 +8 The Annual Pass Rate changes every quarter It Is calculated by dividing the number of candidates who passed during the current and previous three quarters by the number of candidates who tested during the same period If no data is available for the relevant period the statistic is carried over from the last quarter for which data is available
California Code of Regulations section 2530(1) states
The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNreg for the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Faculty and Facilities
Section 2534(d) of the Vocational Nursing Rules and Regulations states
For supervision of clinical experience there shall be a maximum of 15 students for each instructor
However based on the Boards January 2017 decision the program is required to provide no less than one (1) instructor for every ten (1 0) students in clinical classes
The current number of Board-approved faculty totals eleven (11 ) The current Director of Nursing has 20 teaching and 80 administrative responsibility This school has one additional faculty Based on the above information the program has nine (9) instructors designated to teach clinical classes
Faculty stability was identified with six (6) faculty members being employed for 0 - 2 years Three (3) faculty members were employed for 2 - 5 years Two (2) faculty
3
members were employed for 6- 10 years The approved director position and three (3) faculty are full time and seven (7) faculty work part time
Based on a maximum enrollment of 47 students five 5) instructors are required for clinical supervision Therefore the current number of faculty is adequate for the current and proposed enrollment
Section 2534(b) of the California Code of Regulations states
Schools shall have clinical facilities adequate as to number type and variety of patients treated to provide clinical experience for all students in the areas specified by Section 2533 There must be available for student assignment an adequate daily census of patients to afford a variety of clinical experiences consistent with competency-based objectives and theory being taught
Board files substantiate the approval of clinical facilities adequate as to type and variety of patients treated to enable current and proposed students to meet clinical objectives in accordance with Section 2534(b) of the Vocational Nursing Rules and Regulations
Other Considerations
As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On June 10 2014 the Board approved a new director
On November 21 2014 the Board extended the programs provisional approval for three (3) months from November 21 2014 to February 28 2015 The Board directed the program to correct identified violations and submit documentation confirming their correction by December 15 2014 At that time the programs average annual pass rate was 47
On January 7 2015 the director submitted the programs action plan to increase NCLEXshyPNreg pass rates
On February 13 2015 the Board extended the programs provisional approval through February 282017 At that time the programs average annual pass rate was 58 It was noted that while the current students were starting to pass NCLEX-PNreg several students who graduated in older cohorts were also testing
On September 4 2015 the Director reported to the Board that the program had offered the virtual ATIreg program to all past graduates all past graduates who completed the virtual ATIregremediation passed the NCLEX-PNreg on the first attempt and graduates who did not take advantage of the remediation continue to fail the NCLEX-PNreg Additionally the director reported that the program paid the NCLEXPNreg registration fee for all graduates who scheduled the test upon completion of the virtual AT Ireg program
4
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 At that time the programs average annual pass rate was 67 It was noted that the programs average annual pass rate was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Recommendations
1 Approve the Angeles College Vocational Nursing Programs request to admit one (1) full -time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full- time class which graduated on July 17 2017
2 Deny the programs admission of one (1) full-time class of 20 students on January 22 2018 with a projected graduation date of February 15 2019 only
3 Continue to require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences
4 Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
Rationale As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 The programs average annual pass rate was 67 It was noted that the programs average annual pass rate
5
was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (January - March 2017) the programs average annual pass rate is 77 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 73 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is four (4) percentage points above the state average annual pass rate It is noted that the programs current average annual pass rate is 30 percentage points above that when initially placed on provisional approval
Based on published examination statistics the program has been compliant with regulatory requirements for four (4) of the previous eight (8) quarters Further program compliance is confirmed for the previous three (3) consecutive quarters However it is also noted that the number of program graduates completing the licensure examination continues markedly less than the total graduates completing the program Given the foregoing approval of the programs request to admit one class is recommended Consideration of a second class may be considered after receipt and analysis of Quarter 3-2017 examination statistics
Board staff will continue to monitor closely the programs effectiveness by tracking class admissions resources and the programs quarterly and average annual pass rates
Attachment A History of Prior Board Actions
6
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
NCLEX-PNreg Licensure Examination Data
Quarter
Jan- Mar 2016
Quarterly Statistics State
Average
Candidates Passed Passed Quarterly Pass Rate
0 0 0 73
Program Average Annual
Pass Rate
57
Annual Statistics State Variance from
Average State Average Annual Annual Pass
Pass Rate Rate [CCR sect2530(1)]
72 -15
Apr- Jun 2016 0 0 0 75 33 74 -41
Jul- Sep 2016 5 3 60 76 50 75 -25
Oct- Dec 2016 1 1 100 70 67 74 -7
Jan- Mar 2017 7 6 86 72 77 73 +4
Apr-Jun 2017 4 4 100 68 82 74 +8 The Annual Pass Rate changes every quarter It Is calculated by dividing the number of candidates who passed during the current and previous three quarters by the number of candidates who tested during the same period If no data is available for the relevant period the statistic is carried over from the last quarter for which data is available
California Code of Regulations section 2530(1) states
The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNreg for the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Faculty and Facilities
Section 2534(d) of the Vocational Nursing Rules and Regulations states
For supervision of clinical experience there shall be a maximum of 15 students for each instructor
However based on the Boards January 2017 decision the program is required to provide no less than one (1) instructor for every ten (1 0) students in clinical classes
The current number of Board-approved faculty totals eleven (11 ) The current Director of Nursing has 20 teaching and 80 administrative responsibility This school has one additional faculty Based on the above information the program has nine (9) instructors designated to teach clinical classes
Faculty stability was identified with six (6) faculty members being employed for 0 - 2 years Three (3) faculty members were employed for 2 - 5 years Two (2) faculty
3
members were employed for 6- 10 years The approved director position and three (3) faculty are full time and seven (7) faculty work part time
Based on a maximum enrollment of 47 students five 5) instructors are required for clinical supervision Therefore the current number of faculty is adequate for the current and proposed enrollment
Section 2534(b) of the California Code of Regulations states
Schools shall have clinical facilities adequate as to number type and variety of patients treated to provide clinical experience for all students in the areas specified by Section 2533 There must be available for student assignment an adequate daily census of patients to afford a variety of clinical experiences consistent with competency-based objectives and theory being taught
Board files substantiate the approval of clinical facilities adequate as to type and variety of patients treated to enable current and proposed students to meet clinical objectives in accordance with Section 2534(b) of the Vocational Nursing Rules and Regulations
Other Considerations
As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On June 10 2014 the Board approved a new director
On November 21 2014 the Board extended the programs provisional approval for three (3) months from November 21 2014 to February 28 2015 The Board directed the program to correct identified violations and submit documentation confirming their correction by December 15 2014 At that time the programs average annual pass rate was 47
On January 7 2015 the director submitted the programs action plan to increase NCLEXshyPNreg pass rates
On February 13 2015 the Board extended the programs provisional approval through February 282017 At that time the programs average annual pass rate was 58 It was noted that while the current students were starting to pass NCLEX-PNreg several students who graduated in older cohorts were also testing
On September 4 2015 the Director reported to the Board that the program had offered the virtual ATIreg program to all past graduates all past graduates who completed the virtual ATIregremediation passed the NCLEX-PNreg on the first attempt and graduates who did not take advantage of the remediation continue to fail the NCLEX-PNreg Additionally the director reported that the program paid the NCLEXPNreg registration fee for all graduates who scheduled the test upon completion of the virtual AT Ireg program
4
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 At that time the programs average annual pass rate was 67 It was noted that the programs average annual pass rate was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Recommendations
1 Approve the Angeles College Vocational Nursing Programs request to admit one (1) full -time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full- time class which graduated on July 17 2017
2 Deny the programs admission of one (1) full-time class of 20 students on January 22 2018 with a projected graduation date of February 15 2019 only
3 Continue to require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences
4 Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
Rationale As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 The programs average annual pass rate was 67 It was noted that the programs average annual pass rate
5
was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (January - March 2017) the programs average annual pass rate is 77 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 73 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is four (4) percentage points above the state average annual pass rate It is noted that the programs current average annual pass rate is 30 percentage points above that when initially placed on provisional approval
Based on published examination statistics the program has been compliant with regulatory requirements for four (4) of the previous eight (8) quarters Further program compliance is confirmed for the previous three (3) consecutive quarters However it is also noted that the number of program graduates completing the licensure examination continues markedly less than the total graduates completing the program Given the foregoing approval of the programs request to admit one class is recommended Consideration of a second class may be considered after receipt and analysis of Quarter 3-2017 examination statistics
Board staff will continue to monitor closely the programs effectiveness by tracking class admissions resources and the programs quarterly and average annual pass rates
Attachment A History of Prior Board Actions
6
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
members were employed for 6- 10 years The approved director position and three (3) faculty are full time and seven (7) faculty work part time
Based on a maximum enrollment of 47 students five 5) instructors are required for clinical supervision Therefore the current number of faculty is adequate for the current and proposed enrollment
Section 2534(b) of the California Code of Regulations states
Schools shall have clinical facilities adequate as to number type and variety of patients treated to provide clinical experience for all students in the areas specified by Section 2533 There must be available for student assignment an adequate daily census of patients to afford a variety of clinical experiences consistent with competency-based objectives and theory being taught
Board files substantiate the approval of clinical facilities adequate as to type and variety of patients treated to enable current and proposed students to meet clinical objectives in accordance with Section 2534(b) of the Vocational Nursing Rules and Regulations
Other Considerations
As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On June 10 2014 the Board approved a new director
On November 21 2014 the Board extended the programs provisional approval for three (3) months from November 21 2014 to February 28 2015 The Board directed the program to correct identified violations and submit documentation confirming their correction by December 15 2014 At that time the programs average annual pass rate was 47
On January 7 2015 the director submitted the programs action plan to increase NCLEXshyPNreg pass rates
On February 13 2015 the Board extended the programs provisional approval through February 282017 At that time the programs average annual pass rate was 58 It was noted that while the current students were starting to pass NCLEX-PNreg several students who graduated in older cohorts were also testing
On September 4 2015 the Director reported to the Board that the program had offered the virtual ATIreg program to all past graduates all past graduates who completed the virtual ATIregremediation passed the NCLEX-PNreg on the first attempt and graduates who did not take advantage of the remediation continue to fail the NCLEX-PNreg Additionally the director reported that the program paid the NCLEXPNreg registration fee for all graduates who scheduled the test upon completion of the virtual AT Ireg program
4
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 At that time the programs average annual pass rate was 67 It was noted that the programs average annual pass rate was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Recommendations
1 Approve the Angeles College Vocational Nursing Programs request to admit one (1) full -time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full- time class which graduated on July 17 2017
2 Deny the programs admission of one (1) full-time class of 20 students on January 22 2018 with a projected graduation date of February 15 2019 only
3 Continue to require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences
4 Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
Rationale As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 The programs average annual pass rate was 67 It was noted that the programs average annual pass rate
5
was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (January - March 2017) the programs average annual pass rate is 77 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 73 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is four (4) percentage points above the state average annual pass rate It is noted that the programs current average annual pass rate is 30 percentage points above that when initially placed on provisional approval
Based on published examination statistics the program has been compliant with regulatory requirements for four (4) of the previous eight (8) quarters Further program compliance is confirmed for the previous three (3) consecutive quarters However it is also noted that the number of program graduates completing the licensure examination continues markedly less than the total graduates completing the program Given the foregoing approval of the programs request to admit one class is recommended Consideration of a second class may be considered after receipt and analysis of Quarter 3-2017 examination statistics
Board staff will continue to monitor closely the programs effectiveness by tracking class admissions resources and the programs quarterly and average annual pass rates
Attachment A History of Prior Board Actions
6
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 At that time the programs average annual pass rate was 67 It was noted that the programs average annual pass rate was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (April- June 2017) the programs average annual pass rate is 82 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 74 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is eight (8) percentage points above the state average annual pass rate
Recommendations
1 Approve the Angeles College Vocational Nursing Programs request to admit one (1) full -time class of 20 students on September 7 2017 with a projected graduation date of October 23 2018 to replace the full- time class which graduated on July 17 2017
2 Deny the programs admission of one (1) full-time class of 20 students on January 22 2018 with a projected graduation date of February 15 2019 only
3 Continue to require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences
4 Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class
5 Continue the programs requirement to admit no additional classes without prior approval by the full Board
6 Continue the programs requirement to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
7 Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 16 Section 2526
Rationale As noted previously the Board placed the program on provisional approval on November 9 2012 for two (2) years due to noncompliance with regulatory requirements relative to program pass rates At that time the programs average annual pass rate was 47
On January 23 2017 the Board extended the programs provisional approval through February 28 2018 The programs average annual pass rate was 67 It was noted that the programs average annual pass rate
5
was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (January - March 2017) the programs average annual pass rate is 77 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 73 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is four (4) percentage points above the state average annual pass rate It is noted that the programs current average annual pass rate is 30 percentage points above that when initially placed on provisional approval
Based on published examination statistics the program has been compliant with regulatory requirements for four (4) of the previous eight (8) quarters Further program compliance is confirmed for the previous three (3) consecutive quarters However it is also noted that the number of program graduates completing the licensure examination continues markedly less than the total graduates completing the program Given the foregoing approval of the programs request to admit one class is recommended Consideration of a second class may be considered after receipt and analysis of Quarter 3-2017 examination statistics
Board staff will continue to monitor closely the programs effectiveness by tracking class admissions resources and the programs quarterly and average annual pass rates
Attachment A History of Prior Board Actions
6
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
was 20 percentage points above that when initially placed on provisional approval
Based on the most recent data available (January - March 2017) the programs average annual pass rate is 77 The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PNregfor the first time during the same period is 73 The average annual pass rate for the Angeles College of Nursing Vocational Nursing Program is four (4) percentage points above the state average annual pass rate It is noted that the programs current average annual pass rate is 30 percentage points above that when initially placed on provisional approval
Based on published examination statistics the program has been compliant with regulatory requirements for four (4) of the previous eight (8) quarters Further program compliance is confirmed for the previous three (3) consecutive quarters However it is also noted that the number of program graduates completing the licensure examination continues markedly less than the total graduates completing the program Given the foregoing approval of the programs request to admit one class is recommended Consideration of a second class may be considered after receipt and analysis of Quarter 3-2017 examination statistics
Board staff will continue to monitor closely the programs effectiveness by tracking class admissions resources and the programs quarterly and average annual pass rates
Attachment A History of Prior Board Actions
6
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
Agenda Item 22C Attachment A
ANGELES COLLEGE OF NURSING VOCATIONAL NURSING PROGRAM
History of Prior Board Actions
bull On November 2 2006 the Executive Officer approved the Angeles College of Nursings request to begin a vocational nursing program with an initial class of 15 students on November 6 2006 only and approved the program curriculum for 1557 hours including 590 theory and 967 clinical hours
bull On March 28 2007 the Board approved a new program director
bull On May 21 2007 the assigned consultant inspected the program to determine compliance with Article 5 of the Vocational Nursing Rules and Regulations Four (4) violations were noted
bull On July 10 2007 the Executive Officer approved initial full accreditation for the Angeles College of Nursing Vocational Nursing Program for the period from July 10 2007 through July 9 2011 and the Board will issue a certificate accordingly approved the program to admit a full-time class of 15 students to start on October 22 2007 only to replace students graduating on October 12 2007 approved the program to admit an additional full-time class of 15 students to start on July 232007 only and approved the program to admit a part-time class of 15 students on August 6 2007 only
bull On February 8 2008 the Executive Officer approved the programs request to admit a full-time class of 15 students commencing February 19 2008 only with an anticipated graduation date of March 20 2009
bull On March 4 2008 the Executive Officer approved the following requests
1 Request to admit a part-time class of 15 students commencing April 15 2008 with an anticipated graduation date of August 22 2009
2 Request to admit a part-time class of 15 students commencing November 24 2008 with an anticipated graduation date of March 27 2010
3 Request to admit a full-time class of 15 students commencing May 12 2008 with an anticipated graduation date of May 28 2009
4 Request to admit a full-time class of 15 students commencing August 11 2008 with an anticipated graduation date of August 14 2009
5 Request to admit a full-time class of 15 students commencing November 17 2008 with an anticipated graduation date of November 20 2009
7
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
6 Request for ongoing admissions of four full-time classes of 15 students per year to replace graduating classes and two part-time classes of 15 students per year to replace graduating classes
bull On April 3 2008 the Board approved a new Director
bull On October 14 2011 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past five (5) quarters
bull On November 4 2011 the Board received the programs plan to increase pass rates
bull On February 22 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past seven (7) quarters middot
bull On May 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past eight (8) quarters The program was required to submit a plan to correct the deficiency by June 18 2012
bull On May 22 2012 a new director was approved by the Board
bull On June 7 2012 the Board received the programs plan to increase its licensure pass rates
bull On August 7 2012 the program was notified that the programs average annual pass rate had fallen below ten (1 0) percentage points of the state average annual pass rate for the past nine (9) quarters The program was required to submit a plan to correct the deficiency by August 24 2012
bull On August 17 2012 the assigned consultant forwarded correspondence requesting submission of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On September 20 2012 the Board received correspondence from the program director and eighteen (18) copies of the requested information
bull On November 9 2012 the Board placed the Angeles College of Nursing Vocational Nursing Program on provisional approval for the two-year period from November 9 2012 through November 30 2014 and issued a notice to the program to identify specific areas of noncompliance and requirements for correction as referenced in Section 25261 (e) of the California Code of Regulations and rescinded approval of the programs ongoing admissions and Approved the programs admission of 15 students into an evening class beginning on January 21 2013 only graduating May 21 2014 to replace students who graduated October 4 2012 pending submission of a revised curriculum by November 12 2012 and Board approval of the new curriculum and delegated to the Executive Officer discretionary authority to approve
8
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
the programs part- time and full- time curriculum and required the program to admit no additional classes without prior approval by the full Board and required the program to bring its average annual pass rate to no more than ten (1 0) percentage points below the State average annual pass rate and required the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and required the program to submit follow-up reports in nine months but no later than August 1 2013 and 21 months but no later than August 1 2014 The reports must include a comprehensive analysis of the program specific actions taken to improve program pass rates timeline for implementation and the effect of employed interventions The following elements must be addressed in the analysis
a Admission Criteria b Screening and Selection Criteria c Terminal Objectives d Curriculum Objectives e Instructional Plan f Theory and Clinical Objectives for Each Course g Lesson Plans for Each Course h Textbooks i Attendance Policy j Remediation Policy k Evaluations of Theory and Clinical Faculty I Evaluations of Theory Presentations m Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n Evaluation of Student Achievement o Current Enrollment and
Required the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 Section 2526 and advised the program that failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the November 2014 Board agenda for reconsideration of provisional approval
o On February 13 2013 the Executive Officer approved the programs curriculum for 1800 hours including 750 theory and 1050 clinical hours for the full-time program and continued to require the program to obtain prior Board approval to admit students
o On March 11 2013 the assigned consultant forwarded correspondence requesting submission of two (2) copies and one (1) CD or Flash drive of pertinent documents plan and subsequent actions taken to correct identified problems that they desire Board members to consider
bull On March 13 2013 the Board received correspondence from the program director and two (2) copies and a CD of the requested information
9
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
12
bull On May 10 2013 the Board denied the programs request to admit a day class of 15 students on May 20 2013 completing on May 28 2014 replacing the class that will graduate February 22 2013 and denied the programs request to admit an evening class of 15 students on June 25 2013 completing on November 22 2014 replacing the class that will graduate on March 31 2013 and required the program to continue to obtain prior Board approval to admit students
bull On July 31 2013 the director submitted the required comprehensive analysis
bull On November 6 2013 the Board approved the programs request to admit a day class of 15 students on January 202014 only completing on January 162015 replacing the class that graduated August 29 2013 and denied the programs request to admit an evening class of 15 students on March 4 2014 completing on August 21 2015 replacing the class that will graduate on December 14 2013 and continued to require the program to obtain prior Board approval to admit students
bull On June 10 2014 the Board approved a new director
bull On June 10 and 11 2014 an unannounced site visit was conducted Eight (8) violations of the California Code of Regulations were identified
bull On July 11 2014 the Board received the Directors plan to correct identified violations
bull On November 21 2014 the Board extended Angeles College of Nursing Vocational Nursing Programs provisional approval for the three (3) month period from December 1 2014 to February 28 2015 and denied the programs request for approval to admit a class of 20 full- time students commencing on February 9 2015 only graduating February 26 2016 to replace students scheduled to graduate January 13 2015 and required the program to admit no additional students without prior approval by the full Board and Continue to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate and continued to require the program to correct deficiencies identified during the onsite visit and submit documentation confirming correction no later than December 15 2014 and required the program to submit a follow- up report by December 15 2014 The report must include a review of the prior comprehensive analysis effectiveness of employed interventions revisions to the original plan and timeline for implementation and correction and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval failure to take any of these corrective actions may cause the full Board to revoke the programs approval and placed the program on the February 2015 Board agenda for reconsideration of provisional approval
bull On December 16 2014 the Board received the required follow-up report from the director
10
bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
11
Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
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bull On February 13 2015 the Board extended the programs provisional approval for the one (1) year period from March 1 2015 to February 28 2016 Approved the programs request to admit 20 students commencing on April 6 2015 graduating May 20 2016 only to replace students scheduled to graduate on January 23 2015 Required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation by April 17 2015 Required the program to admit no additional students without prior approval by the full Board Continued to require the program to bring its average annual pass rate to no more than ten (10) percentage points below the State average annual pass rate Continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code Section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 Continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Failure to make any of these corrective actions may cause the full Board to revoke the programs approval Additionally the Board placed the program on the February 2016 Board agenda for reconsideration of provisional approval
bull On November 20 2015 the Board approved the programs request to admit 20 students into a full- time day class commencing on January 4 2016 graduating March 3 2017 only and required the program director to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of the class Continued the programs requirement to admit no additional students without prior approval by the full Board and continued to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526 and continued to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval and continued the programs placement on the agenda of the Boards February 2016 meeting for reconsideration of provisional approval
bull On January 25 2016 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 28 2016 - February 27 2017 Place the program on the agenda of the Boards February 2017 meeting for reconsideration of provisional approval Deny the programs request to admit 20 students into a full - time day class commencing on May 9 2016 graduating June 12 2017 only Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professionals Code section 2880 and Article 5 of the Boards Regulations commencing at California Code of Regulations Title 16 section 2526
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Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
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Continue to require the program to demonstrate incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval
bull On January 23 2017 the Board approved to extend Angeles College of Nursing Vocational Nursing Programs provisional approval for one year from February 27 2017- February 28 2018 Place the program on the agenda of the Boards February 2018 meeting for reconsideration of provisional approval Approve the programs request approval to admit 20 students and two (2) alternates into a full -time day class commencing February 21 2017 graduating February 23 2018 only to replace students who graduated on July 222016 Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences Continue the directors requirement to submit under penalty of perjury the names of all enrolled students date of admission placement in the curriculum and expected date of graduation within 15 days of the commencement of a class Continue the programs requirement to admit no additional classes without prior approval by the full Board Continue to require the program to demonstrate sustained incremental progress in correcting the violations If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the programs approval Continue to require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act commencing at Business and Professions Code of Regulations Title 116 Section 2526 Failure to take any of these corrective actions may cause the full Board to revoke the programs approval
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